Pediatric Billing

Coverage benefits are the big issue for Pediatric practices. Our team is well versed with whats generally covered and whats not and we let our pediatric providers know promptly. Following are examples the coverage & benefit issues-

Billing correct combination of Vaccination/Immunization & their administration codes is an essential part of pediatric billing. Mapping correct ICD code & putting the appropriate modifiers is must to get the payment. We are well informed of addition, deletion of CPT & ICD codes. We also check if any of the code picked by the provider is appropriate for child’s age.

Most of the policies that are HMOs, require subscribers to update the Coordination of Benefits every year-pending which payments may be delayed.

Some policies require servicing provider should be assigned as PCP in their records and if thats not done it results in denial. Once the claim is denied, cannot be reprocessed as Insurance do not update the PCP information retroactively.

If we were unable to get the information at the time of service we notify parents by sending them specific notices, or calling to sort out the matter as soon as possible.

Have InfiCare Services take care for your billing!

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Before I was recommended to InfiCare, I tried in-house using an integrated software and also tried another billing company. InfiCare is on top of billing and coding changes, maximizing reimbursement strategies and is quick in getting payments. I am able to reach any of the team members at any time and they are always willing to guide me successfully.

Considering my few years of experience with InfiCare, I would happily recommend them to anyone in need of medical billing services. They help me focus on the clinical aspects of care, rather than worry about the billing aspects.Medical Director, Physical Therapy Practices in Irving, TX

I have been using InfiCare for our several Urgent Care practices for over a decade. They are prompt in billing, code right and aggressively follow up with payers to keep aging under control. I can always count on them to do the right thing and collect on what’s rightfully due provider just like it’s their own practice. I have full access to the billing system so I can drill down and run all reports.Practice Manager for Urgent Care practices in DC area

Few years ago when we began to consider outsourcing our billing, the process seemed daunting to me, but Sunil and his team made it easier than I could have imagined. They streamlined the process for us and provided us with excellent support and guidance at the start, and over the years they have remained easy to work with, prompt with answers, and incredibly detail-oriented.

I can’t imagine having to go back to paying for a full billing staff and then also wondering whether or not claims were being filed correctly and timely. I have none of these concerns with InfiCare because I’m able to see right away what they’re working on. It’s also very easy to get a hold of Sunil and his team, either via phone or email. I highly recommend InfiCare for your billing needs.Manager, Chiropractic Practice in Northern VA

Thank you very much, it continues to be a pleasure to work with you.Wound care doctor in Washington, DC area

Thanks a lot for outstanding service and tremendous help. 2016 was very successful for my practice.Medical Director of Wound Care practice near Boston, MA